program - Canadian Association of Midwives

Transcription

PROGRAM
BEYOND BOUNDARIES:
North American Midwifery Conference
November 9-12, 2011
Sheraton on the Falls
Niagara Falls, Ontario CANADA
www.midwifery2011.org
PROGRAMME
In collaboration with
The American College
of Nurse Midwives
Thank You To Our Industry Supporters!
Merci à nos commanditaires!
Executive
Premier
Partners
Table of Contents / Table des matières
Table of Contents/
Table des matières
Welcome / Bienvenue
MANA President / Présidente MANA – Geradine Simkins p. 2
CAM President / Présidente ACSF – Anne Wilson p. 3
Board Members/ Membres du Conseilp. 4
Special Thanks / Remerciements p. 5
Floor Plans / Plans du site p. 6-7
Conference at A Glance / Résumé du programmep. 8-9
Poster Presentations / Affichesp. 11
Sage-femme & Sapling Awards/ Prixp. 12-13
MANA-CAM Meetings / Réunions p. 14
2011 Sponsors & Exhibitors / Commanditaires & Exposants p. 15-20
Schedules & Presentation Summaries / Horaires & Résumés
Wednesday / mercredi, November 9th, 2011 Thursday / jeudi, November 10th, 2011 p. 22-27
Friday / vendredi, November 11th, 2011 p. 28-31
Saturday / samedi, November 12th, 2011 p. 32-34
p. 21
Biographiesp. 36-39
Ads from our Sponsors / Publicitép.40-48
1
Welcome / Bienvenue
Welcome/Bienvenue
Greetings, Saludos y Salutations!
On behalf of the Midwives
Alliance and our conference
partners, it is my great pleasure
to welcome you to this historic
conference. It is an honor to
be among birth workers from a
variety of provinces, states, tribal
lands, and sovereign nations,
and to be collaborating with our
colleague organizations. It is
our shared goal to strengthen
the profession of midwifery in
order to provide the best quality care for women, infants,
families, and communities in all regions.
Our conference theme—North American Midwifery: Beyond
Boundaries—speaks to value we place on diversity and
multiculturalism, and also on shared knowledge, skills,
stories, and strategies.
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We have loads of work to do to meet the maternity care
needs of our regions, increase access to care for our
most marginalized and vulnerable populations, strengthen
our existing midwifery workforce, and educate a new
Greetings, salutations y saludos à toutes celles ici présentes
aujourd’hui ! Je suis très heureuse, au nom de l’Alliance des
sages-femmes et des partenaires de notre conférence, de
vous accueillir chaleureusement à ce moment historique.
Je suis particulièrement honorée d’être parmi vous toutes,
sages-femmes originaires de plusieurs provinces, états,
terres autochtones et états souverains et d’avoir le plaisir
de collaborer avec nos organisations associées. Nous
partageons collectivement un même but, celui de consolider
la profession sage-femme pour être en mesure d’offrir un
soin de qualité supérieure aux femmes, aux enfants, familles
et communautés de toutes les régions.
Le thème de cette conférence, La pratique sage-femme
en Amérique du Nord : dépasser les frontières, valorise
la place accordée à la diversité, au multiculturalisme et
au partage de nos connaissances, nos compétences, nos
histoires et nos stratégies.
Notre travail est colossal car il implique de pouvoir répondre
aux besoins en soins de maternité dans nos régions,
d’accroître l’accès des soins aux populations les plus
marginalisées et les plus vulnérables, de renforcer notre
groupe de travail en pratique sage-femme et d’éduquer une
nouvelle génération de sages-femmes.
Les allocutions diverses de cette conférence seront une
generation of midwives. The conference offerings will
provide information and inspiration for achieving many of
our collective goals.
Midwives, students, maternity care professionals, and
midwifery supporters from across North America and
beyond—you are in for a big treat. The program is bulging
at the seams with stimulating sessions and topics, and is
filled with exciting featured events and entertainment. There
are even a few surprises. We welcome each of you and
challenge you to reach across the borders, make friends,
embrace all that is offered, and feel confident that you will
return home refreshed and invigorated.
Remember the power of declaring the international
incantation: The world needs midwives now more
than ever! Most of all—have fun and enjoy one another.
Geradine Simkins DEM, CNM, MSN
President, Midwives Alliance
source d’informations précieuses pour l’avancement de
certains de nos buts collectifs.
Sages-femmes, étudiantes, professionnels de la santé et
partisans de la pratique sage-femme à travers l’Amérique,
vous aurez droit à un traitement exceptionnel ! Le programme
regorge de débats, de thèmes stimulants, d’événements-clé
et de divertissement. Nous vous réservons même quelques
surprises en vous invitant à vous dépasser, à traverser les
frontières, à créer de nouvelles amitiés en embrassant tout ce
qui vous est offert pour ensuite retourner chez vous reposées
et inspirées.
Souvenez-vous de la puissance de l’incantation suivante et
répétez-la : Le monde, aujourd’hui, a besoin plus que jamais de
la présence des sages-femmes! Mais surtout, amusez-vous et
partagez ensemble.
Geradine Simkins DEM, CNM, MSN
Présidente, Midwives Alliance
Welcome / Bienvenue
It gives me great pleasure to
welcome midwives from Canada,
the United States and Mexico
and our special guests from
the national and international
midwifery community, other
maternity care professions, health
organizations and governments
to this historic event: the North
American Midwifery Conference,
Beyond Boundaries.
colleagues, and are inspired and replenished by our exchange
of ideas. This year presents a unique opportunity to share
and exchange with our colleagues from the United States
and Mexico. We hope that we have provided a program that
is informative, thought provoking, and most of all, fun. Our
warmest thanks to the Conference Planning Committee
and to our staffs who have truly embraced working Beyond
Boundaries to organize this historic event.
On behalf of the Board and staff of the Canadian Association
of Midwives, I wish you all an exciting and inspiring
conference!
As we look to the future there
are exciting developments for
all midwives across the Americas. This conference will
help us to move forward in unity to greet the challenges of
the next few years. Midwifery is growing in strength and
reputation both nationally in our respective countries, and
internationally, as we implement our new ICM standards
and work to improve maternal child health for all the
families we serve.
Annual CAM conferences are always exciting occasions for
Canadian midwives to come together to share knowledge
and current research, examine challenges, and celebrate
our successes. We reconnect with old friends, meet new
Je suis vraiment heureuse d’accueillir toutes les sagesfemmes du Canada, des États-Unis et du Mexique,
tous nos invités spéciaux de la communauté nationale
et internationale des sages-femmes et les autres
professionnels dispensant des soins obstétricaux, les
organismes de santé et membres du gouvernement à cet
événement historique intitulé : Conférence nord américaine
des sages-femmes, Au-delà des frontières.
Le futur, à la lumière du développement dynamique des
sages-femmes à travers les Amériques, nous semble très
prometteur. Cette conférence nous incitera à nous unifier
davantage afin d’être en mesure de rencontrer avec succès
les défis qui nous attendent dans les années à venir. Pendant
que nous mettons en œuvre les nouveaux documents
fondamentaux pour la Confédération internationale des
sages-femmes (ICM) et que nous travaillons à l’amélioration
de la santé mère-enfant de toutes les familles que nous
desservons, la profession sages-femmes se développe en
force et en réputation nationalement dans nos pays respectifs
et internationalement.
Les conférences annuelles de l’ACSF sont toujours des
occasions incroyables pour les sages-femmes canadiennes
de se rassembler, de partager leurs connaissances, de
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Anne Wilson RM
President, Canadian Association of Midwives
commenter les recherches actuelles, d’examiner les
défis et de célébrer nos succès. Nous connectons avec
d’anciennes et nouvelles collègues et sommes inspirées et
stimulées par cet échange d’idées. Cette année représente
une opportunité unique de partager et d’interagir avec nos
collègues des États-Unis et du Mexique. Nous espérons vous
offrir une programmation efficace, voire provocante mais
surtout motivante. Nos plus vifs remerciements au comité
de planification de la conférence et notre équipe qui se sont
totalement investis Au-delà des frontières à l’organisation de
cet événement historique.
Je me joins au conseil d’administration et à l’équipe de
l’Association canadienne des sages-femmes pour vous
souhaiter une conférence enrichissante et inspirante !
Anne Wilson RM
Présidente de l’Association canadienne
des sages-femmes
Board Members / Membres du Conseil
BOARD MEMBERS/MEMBRES DU CONSEIL
4
Canadian Association of
Midwives/Association
canadienne des sagesfemmes
Midwives Alliance
of North America
Anne Wilson, President
Sarita Bennett, Secretary
Joanna Nemrava, Vice-President, B.C.
Audra Phillips, Treasurer
Emmanuelle Hébert, Secretary
Adrian Feldhusen, Region 1 Rep
Jane Erdman, Treasurer
Linda McHale, Region 2 Rep
Jane Baker, Alberta
Tamara Taitt, Region 3 Rep
Jessica Bailey, Saskatchewan
Sherry DeVries, Region 4 Rep
Jessica Coleman, New Brunswick
Marinah V. Farrell, Region 5 Rep
Carol Couchie, National Aboriginal Council of Midwives
Colleen Donovan-Batson, Region 6 Rep
Kathleen Cranfield, Yukon
Jennie Joseph, Midwives of Color Section Chair
Joyce England, Prince Edward Island
Cris Alonso, MANA Mexico Rep
Geradine Simkins, President
Jill Breen, 1st Vice President
Christy Tashjian, 2nd Vice President
Kay Matthews, Newfoundland & Labrador
Amanda Tomkins, Nunavut
Megan Wilton, Manitoba
Katrina Kilroy, Ontario
Claudia Faille, Québec
Lesley Paulette, NorthWest Territories
Chantal Gauthier-Vaillancourt , Student representative
The ONE WORLD BIRTH team is filming at Beyond
Boundaries! OWB was created by UK-based independent
filmmakers (Toni and Alex Harman) and their aim is to
make birth better around the world by providing free,
evidence-based information as easily share-able videos
for parents and birth professionals. They will also be
launching a specialist research video resource and a
full-length documentary next year; and are onsite
conducting interviews with midwives, birth researchers
and advocates, doulas, childbirth educators and more. If
you are interested in learning more about the project, look
at http://oneworldbirth.net, or stop by registration to sign
up to be interviewed!
Special Thanks / Remerciements
Special Thanks/Remerciements
Conference Coordinators/Coordinatrices
Christy Tashjian
Camille Abbe
Tonia Occhionero
Exhibitor and Sponsorship Program/
Programme de commandites et exposants
Sandra Burelli
Sylvie Paquette
Conference Program Committee/
Comité de programmation
Christy Tashjian
Anne Wilson
Elizabeth Moore
Liz Darling
Cris Alonso
Gisela Becker
Suzanne Stalls
Tonia Occhionero
Camille Abbe
Social Event/Événement social (Thursday/jeudi)
Ghislaine Francoeur Fund Committee (GFF)
Foundation for the Advancement of Midwifery (FAM)
Abstract Review Committee/Comité scientifique
Patty McNiven
Elaine Carty
Susan James
Vicki Van Wagner
Manavi Handa
Angy Nixon
Illysa Foster
Justine Clegg
Suzy Myers
Tamara Taitt
Preliminary and Final Program/
Programme préliminaire et final
Pro-Actif (www.pro-actif.ca)
Eby Heller
Annie Hibbert
Registration/Inscriptions
Annie Hibbert
Venue Management & A/V
Camille Abbe
Network Communications
Translations/Traductions
Michèle Matte
Louise Matte
WordCrafting
And a special thank you to our volunteers!
et un gros merci à nos bénévoles!
5
Floor Plan / Plan du site
FLOOR PLAN 3rd FLOOR/
PLAN DU SITE 3ième ÉTAGE
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Floor Plan / Plan du site
FLOOR PLAN 5th FLOOR/
PLAN DU SITE 5ième ÉTAGE
7
Conference at a glance / Résumé du programme
Conference at a glance/RÉSUMÉ
Wednesday/mercredi, November 9th 201
(page 21)
Thursday/jeudi, November 10th 2011
(page 22)
7:00am – 8:00am
Registration/Breakfast/Exhibits/Posters
7:00am – 8:00am
Pre-Conference Workshops Registration
8:00am – 9:00am
Presidents’ Welcome: Holly Powell Kennedy, CNM, PhD;
Geradine Simkins, CNM, MSN; Anne Wilson, RM)
8:00am-6:00pm
Pre-Conference Workshops - Full Day
9:00am – 10:00am
Keynote Speaker: Naoli Vinaver CPM
8:00am-12:00pm
Pre-Conference Workshops - Half Day
10:00am – 10:30am
Break/Exhibit/Posters
10:30am – 12:00pm
Breakout/Concurrent Sessions
8
12:00pm – 1:30pm
Lunch/Exhibit/Posters
12:00pm – 2:00pm
CAM AGM
1:30pm-3:00pm
2:00-6:00pm
Pre-Conference Workshops - Half Day
3:00pm-3:30pm
3:30pm-4:30pm
Plenary speaker: Frances Ganges CNM, RM, MPH
4:00pm-8:00pm
Registration for
Conference
4:30pm-6:00pm
MANA Business
Meeting and Open
Forum
6:00pm-7:00pm
MANA Region
Meetings
5:00pm-7:00pm
CAM Student
Meeting
7:45pm
Health Disparities Candlelight Vigil
8:00pm-9:30pm
Opening Ceremony
Keynote Speaker: Bridget Lynch, RM, MA
9:30pm-11:00pm
Welcome Reception/Exhibits
8:15pm-11pm
Live Auction & Dance (Page 5)
Conference at a glance / Résumé du programme
Friday/vendredi, November 11th, 2011
(page 28)
7:00am-8:00am
Registration/Breakfast/
Exhibit/Posters
6:30am-8:00am
Presidents’ Discussion of
ICM Global Standards
Saturday/samedi, November 12th, 2011
(page 32)
7:00am-8:00am
Registration/Breakfast
8:00am-9:00am
Plenary Speaker Barbara Katz-Rothman PhD
8:00am-9:00am
Ethics Panel Discussion
9:00am-10:00am
Midwifery Databases Panel Discussion
9:15am-10:00am
Awards Ceremonies
10:00am-10:30am
10:00am-10:30am
Break
10:30am-12:00pm
10:30am-12:00pm
12:00pm-1:30pm
12:00pm-1:30pm
Midwives of Color Lunch
Meeting
1:30pm-3:00pm
Social Justice Panel Discussion
3:00pm-3:30pm
3:30pm-4:30pm
Keynote Speaker: Andrew Kotaska MD
4:30pm-5:30pm
Keynote Speaker: Henci Goer
5:30pm-7:00pm
MANA Division of Research
MANA Student Section
Bridge Club
5:30pm-11:00pm
Benefit Dinner for the
National Aboriginal Council
of Midwives (Page 10)
7:30pm-11:00pm
Fundraiser for the
Foundation for the
Advancement of Midwifery
(Page 10)
12:00pm-1:30pm
Lunch
1:30pm-2:30pm
Plenary Speaker: Jay MacGillivray, RM
2:30pm-3:00pm
Closing Ceremony
9
10
CHOOSE THE PATH OF
MIDWIFERY’S FUTURE
FRIDAY NIGHT
8PM
If we found 2,500 midwives, doulas, moms, and others who understand that
birth matters, we would have over $1,000,000 to give away and to reclaim
a woman-centered birth culture for North America.
Join the Birth Trust, transparent grant-making fund where you can vote on
which projects get funded by the Foundation for the Advancement of Midwifery.
Many midwives and their advocates have joined the Birth Trust and raised
$60,000 last year for North American organizations addressing public
education, research, policy, and birth disparities.
We raise the money we give away from people like you. Make your voice
heard because we know you care about these issues as much as we do.
JOIN OR RENEW AT OUR
EXHIBIT TABLE AND RECEIVE
YOUR BIRTH TRUSTEE T-SHIRT!
“A one-‐woman show that's all woman.” —Foster’s Daily Democrat “Candidly hilarious. Pierce is not only a comic storyteller but also a teacher, a crusader and a shrink.” —Vermont Cynic Tickets $25 at the door. Cash bar at 7:30. Proceeds benefit the Foundation for the Advancement of Midwifery. POSTER PRESENTATIONS/AFFICHES
5th Floor/étage
Margaret Franzen, M.A.
Bringing Birth in Translation to Midwifery Practice
Sharon Craig Economides, LM, CPM, MMid, IBCLC
Navelgazing: A Simple Salt Solution to
Umbilical Granulomas
Rhonda Stephens-Anderson RM, BMw; Cathryn Ellis BFA,
RM, MSc; Anne Apoko Olaro RN, RM, MA; Monica Odella
Filder RN, RM, DPHN, BNS, MBA
Factors Contributing to Job Satisfaction and Dissatisfaction
among Hospital-Based Midwives in Uganda
Anna Meuser, MPH
Knowledge Translation and Research Specialist
Clinical Practice Guidelines at the Association
of Ontario Midwives
Natália Salim, Midwife, PhD Student
University of São Paulo School of Nursing-Brazil;
Dulce M. Rosa Gualda, Midwife, PhD, Professor
University of São Paulo School of Nursing-Brazil
The Childbirth Stories of Women in a Brazilian Community
Bruce Ackerman, Data Collection Director of the MANA
Division of Research; Ellen Harris-Braun, CPM, MANA
DOR Director of Database Development; Melissa Cheyney,
PhD, CPM, LDM, MANA DOR Chair; Courtney Everson, MA,
MANA DOR Data Quality Coordinator
Illuminating Normal Birth with the MANA Statistics Project
Julie Corey; Cheryl Wise; Richard Witham: Preceptor
Support Team, Ontario Midwifery Education Program
Preceptor Support Program: Keeping MEP
Preceptors Informed and Connected
Cathryn Ellis, MSc, RM;
Kathrin Stoll, BA, MA, PhD (candidate);
Laura Schummers, BSc
Evaluation of the Educational and Professional Experiences of Midwifery Program Graduates in British Columbia
Exciting news!
The Midwives Alliance is in production
on a new media campaign called I Am
a Midwife. It is a series of short video
portraits featuring a diverse and
multicultural selection of midwives from
across the US with the goal of raising
public awareness about midwifery care and
increasing access to midwives. In spring
2012, I am a Midwife will be launched
through a variety of online and social media
platforms. Filmmaker, educator, and birth
activist Nicolle Littrell of Woman in the
Moon Films will be interviewing midwives
at the Beyond Boundaries Conference. Sign
up to become a “poster midwife” at the
registration desk!
11
Awards / Prix
AWARDS
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Awards / Prix
13
Meetings / Réunions
MEETINGS / RÉUNIONS
THURSDAY/jeudi:
FRIDAY/vendredi:
ALL DAY
One World Birth interview filming, Fallsview Studio B
ALL DAY
One World Birth interview filming, Fallsview Studio A
ALL DAY
Red Tent, Strategy Room 6, stop in for a moment of
quiet reflection
ALL DAY
Red Tent, Strategy Room 6
12-1:30pm
International Confederation of Midwives Meeting,
ALL are welcome. Fallsview Studio C. Pick up
your buffet lunch to bring to the meeting.
4:30-6pm MANA Business Meeting and Open Forum,
All Welcome, Ballroom
5-7pm
CAM Student Meeting/Réunion étudiantes ACSF,
(speaker, Bridget Lynch) Fallsview Studio C
14
6-7pm
MANA Region Meetings: Light dinner provided
Region 1: New England: ME, NH, VT, MA, RI, CT
(Upper Fallsview Studio A)
Region 2: North Atlantic: NY, NJ, PA, DE, DC, MD, Canada
(Strategy Room 2)
Region 3: Southeast: NC, SC, VA, TN, KY, AL, GA, FL, MS,
WV, LA, AR, non-Spanish speaking members outside
North America (Strategy Room 3)
Region 4: Midwest: OH, IN, IL, MI, WI, MN, IA, MO, ND, SD,
NE, KS (Strategy Room 5)
Region 5: West: MT, ID, WY, UT, CO, AZ, NM, NV, TX, OK
(Strategy Room 7)
Region 6: Pacific: WA, OR, CA, AK, HI
(Upper Fallsview Studio B)
Region 10: Mexico and Spanish speaking members outside
North America (Executive Boardroom)
6-7am
YOGA, Fallsview Studio A. Bring a towel.
6:30-8am
Presidents’ Discussion of ICM Global Standards:
ACNM, ACME, AMCB, CAM, CMRC, CAM-ED, MEAC,
MANA, MANA MEX, NACPM, NARM
12-1:30pm
Midwives of Color Lunch Meeting, Strategy Room 1.
Pick up your buffet lunch to bring to the meeting.
12-1:30pm
CAM Provincial/Territorial Negotiations Meeting, Fallsview
Studio B. Pick up your buffet lunch to bring to the meeting.
2-8pm
I AM A MIDWIFE interview filming. Fallsview Studio B
5:30-7pm
MANA Division of Research, Strategy Room 1
MANA Student Section, Strategy Room 2
Bridge Club (MANA, ACNM), Strategy Room 3
SATURDAY:
ALL DAY
Red Tent, Strategy Room 6
6-7am
YOGA, Fallsview Studio A. Bring a towel.
8am-5pm
I AM A MIDWIFE interview filming, Fallsview Studio A
8am-12pm
One World Birth interview filming, Fallsview Studio C
Caucuses: If you would like to organize a
gathering about a certain issue, lifestyle, belief
or practice, please let us know at the registration desk and we will post or announce when and
where you will be meeting so that others can
join you.
2011 Sponsors & Exhibitors / Commanditaires
2011 SPONSORS & EXHIBITORS /
COMMANDITAIRES
Flora Health & Salus Haus
www.florahealth.com
Located in Germany, SALUS, which means health and wellness, uses only the finest
raw materials, which are produced primarily on the company’s farm from Chile.
From the selection of raw materials to the final stages of production, strict quality
standards and state-of-the-art technology has earned recognition as one of the most
respected leaders in the field if phytomedicine since 1916.
Située en Allemagne, SALUS, dont le nom signifie santé et bien-être, n’utilise que
des matières premières de la meilleure qualité provenant principalement de ses
terres agricoles au Chili. Depuis la sélection des matières premières jusqu’aux
derniers stades de la fabrication, les normes rigoureuses de qualité de cette
entreprise et sa technologie à la pointe du progrès lui ont valu d’être reconnue parmi
les chefs de file les plus respectés du domaine de la phytothérapie depuis 1916.
HIROC
www.hiroc.com
HIROC is Canada’s leading provider of healthcare liability insurance offering a broad
range of insurance products and services, including risk management programs and
claims management expertise. HIROC also works with its subscribers to bring about
meaningful and productive change resulting in greater safety and a reduction in
claims and incidents.
The Stevens Company Ltd.
www.stevens.ca
Medical Equipment, Emergency Preparedness Supplies, Pandemic Planning and
Training, Diagnostic Instruments, Catheters and Tubing, Incontinence & Ostomy
Products, Laboratory Equipment & Supplies, Procedure Trays & Packs, Respiratory
Therapy Equipment, Bariatric Products, Chiropody Instruments, Gloves, Masks &
Face Protection, Soap, Shampoo & Skin Care, Gels, Antiseptics and Injectables,
Surgical Instruments, Sports Trainer’s Kits, Physio & Rehabilitation Supplies,
Urological Products, Woundcare Products, Medical Apparel, Funeral Supplies,
Engraved Urns, Veterinary Supplies and much more.
15
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Cook Medical
www.cookmedical.com
Cook Medical was one of the first companies to help popularize interventional
medicine, pioneering many of the devices now commonly used worldwide to perform
minimally invasive medical procedures. Today, the company integrates device design,
biopharma, gene and cell therapy and biotech to enhance patient safety and improve
clinical outcomes in the fields of aortic intervention; interventional cardiology;
critical care medicine; gastroenterology; radiology, peripheral vascular, bone access
and oncology; surgery and soft tissue repair; urology; and assisted reproductive
technology, gynecology and high-risk obstetrics. Cook is a past winner of the
prestigious Medical Device Manufacturer of the Year Award from Medical Device &
Diagnostic Industry magazine. For more information, visit www.cookmedical.com.
Boiron Laboratories
www.boiron.ca
ENGLISH not available at time of printing
Boiron, leader mondial en homéopathie, est fabricant d’une gamme complète de
médicaments convenant aux adultes comme aux nourrissons. Les médicaments
homéopathiques représentent un choix efficace et sécuritaire et c’est pourquoi les
sages-femmes les utilisent en toute confiance.
16
Harlow’s Distributing
www.TENSCANADA.com Harlow`s Distributing Ltd. “Just for the Health of it”, is a Canadian company which
specializes in the rental/sales of Transcutaneous Electrical Nerve Stimulation
(TENS) devices. Our non-invasive, non-pharmacological pain management systems
have helped thousands of people manage their pain. FreeMOM TENS for Obstetrics
has been Hospital tested for efficacy and is found to be an extremely effective drug
free system for labour and delivery.FreeMOM TENS can also be used for after-birth
pain, restless leg syndrome, and other discomforts such as back, neck, and shoulder
pain. Please visit us online or call us Toll Free at 877-338-0066.
Superior Medical Limited
www.superiormedical.com Canada’s Source for Health information. For over 25 years, Superior Medical has
offered Canadians quality health education materials; Birth & Parenting education
DVD’s, Interactive prenatal classes, anatomical charts & models, health educational
booklets & exercise software. These products will help make your health message
crystal clear.
Votre source canadienne d’informations aux patients. Depuis plus de 25 ans, Superior
Medical offre aux canadiens du matériel éducatif de qualité; Modèles et planches
anatomiques, vidéos sur la naissance & l’art d’être parent, cours prénataux interactifs,
brochures d’éducation aux patients ainsi que des logiciels d’exercices. Ces produits
aideront vos patientes à visualiser et réduiront les explications répétitives.
GE HEALTH CARE
GE Healthcare provides transformational medical technologies and services that
are shaping a new age of patient care. Our broad expertise in medical imaging
and information technologies, medical diagnostics, patient monitoring systems,
drug discovery, biopharmaceutical manufacturing technologies, performance
improvement and performance solutions services help our customers to
deliver better care to more people around the world at a lower cost. In addition,
we partner with healthcare leaders, striving to leverage the global policy change
necessary to implement a successful shift to sustainable healthcare systems. Our
“healthymagination” vision for the future invites the world to join us on our journey as
we continuously develop innovations focused on reducing costs, increasing access and
improving quality and efficiency around the world. Headquartered in the United
Kingdom, GE Healthcare is a $17 billion unit of General Electric Company (NYSE: GE).
Worldwide, GE Healthcare employs more than 46,000 people committed to serving
healthcare professionals and their patients in more than 100 countries. For more
information about GE Healthcare, visit our website at www.gehealthcare.com.
McArthur Medical Sales Inc.
www.mcarthurmedical.com Mosquito Arterial Blood Gas and Cord Gas Sampling, Grip-Lok Catheter & Line
Securement for Epidural & All Types of Lines, Tubes and Catheters, SenTec Digital
Transcutaneous pCO2 Monitor, Safety Oral/Enteral Syringes, ChMV Developmental
Care products, BiliTx Phototherapy system, BiliChek Non-Invasive Bilirubin Analyzer,
Smiths Neonatal Oximeter.
Mosquito prélèvement du sang artériel et du cordon ombilical pour les
déterminations des gaz, Grip Lok dispositifs de fixation pour les cathéters, les
sondes, les tubulures, SenTec moniteur digital transcutané pour le pCO2, Seringues
orale/entérale sécuritaires, Children’s Medical Ventures Produits pour les soins
de développement du nouveau- né, BiliTx Système de photothérapie, BiliChek
bilirubinomètre non-invasif, Smiths Saturomètre néonatal.
Conseil communauté en santé du Manitoba
http://ccsmanitoba.ca/en The Conseil communauté en santé du Manitoba (CCS) is part of the nation French
language health services movement. CCS plays a leadership and coordination role in
facilitating access to high quality French language health and social services.
Le Conseil communauté en santé du Manitoba (CCS) fait partie du mouvement
national de santé en français. Le CCS joue un rôle de leadership et de concertation
pour favoriser l’accès à des services de qualité en français dans le domaine de la
santé et des services sociaux. 17
Ferring Pharmaceuticals
www.ferring.com
B-natal is a non-prescription Vitamin supplement that contains the recommend
amount of vitamin B6 (pyridoxine) found to relieve morning sickness. It is the only
morning sickness relief product that delivers clinically efficacious ingredients in
TheraPopTM and lozenge formats. B-natal’s soothing vitamin B6 formula provides
a non-Rx alternative to prescription anti-nausea medications and a nutritionally
beneficial alternative to traditional home remedies. Since its introduction in the US,
B-natal has been recommended by thousands of doctors. B-natal is available as a
cherry-flavoured TheraPopTM or green apple lozenge.
B-natal est un supplément vitaminique disponible en vente libre qui contient la
dose recommandée de vitamine B6 (pyridoxine) pour le soulagement des nausées
matinales de la grossesse. Ce produit ne sert qu’au soulagement de la nausée
matinale de la grossesse; il allie l’efficacité clinique de ses ingrédients à la facilité
de digestion de sa présentation. La formule apaisante de la vitamine B6 (25mg)
contenue dans B-natal fournit une alternative disponible sans prescription aux
traitements antinauséeux prescrits et une alternative possédant des avantages
nutritionnels comparativement aux remèdes maison traditionnels. Des milliers
de médecins ont recommandé B-natal depuis sa mise en marché aux États-Unis.
B-natal est disponible sous la forme de TheraPopTM à saveur de cerise ou en
pastilles à saveur de pomme verte.
18
Mount Royal University
The first and only Bachelor of Midwifery program in Alberta, Mount Royal
University’s new four-year B.Mid. degree prepares you to offer primary health care
to women during pregnancy, through childbirth and in the first six weeks of their
babies’ lives. Combining theoretical knowledge and extensive practical experience,
you graduate from this comprehensive, evidence-based program ready to take the
Canadian Midwifery Registration Examination (CMRE). This program emphasizes
well rounded education and skills; interactive teaching during your clinical placement
and personal and professional connections.
19
Suzanne Arms
EZnursing
Iota Birthing Stools
20
Association for Safe
Alternatives in Childbirth
Midwives Association of Utah
AMISTAD CANADA
Nathasha Smoke Santiago
Amanda Greavette
Michigan Midwives Association
Association of Midwifery
Educators (AME)
NACPM - National Association of
Certified Professional Midwives
Amy Swagman Art
National College of Midwifery
Thank you to all who contributed to the Raffle!
Remember to buy your tickets before the end of the day on Friday to be included in the draw!
Wednesday / mercredi, November 9th 2011
Schedules &
Presentation Summaries/
HORAIRES & RÉSUMÉS
Wednesday, November 9th 2011
4:00pm – 8:00pm
Conference Registration
8:00pm – 9:30pm (Great Rooms B&C)
Opening Ceremony
Keynote Speaker: Bridget Lynch, RM, MA
Building Solidarity to Strengthen Midwifery Globally the Time is Now!
For the first time in modern history the global health
community has recognized the importance of strengthening
midwifery services as a key component to reducing
maternal and newborn morbidity and mortality in lowresource countries. Secretary General of the UN, Ban ki
Moon, has spearheaded a campaign which has received
billions of dollars in commitments to achieve Millennium
Development Goals 4, 5 and 6 by 2015, including the
strengthening of the midwifery workforce. The models of
midwifery practice in the United States and Canada have a
profound impact on the ways our respective governments
are supporting these global efforts. This talk will examine
the political implications of our models of practice and
the imperative of a common vision to guide the future of
midwifery on this continent and globally.
Agissons maintenant! Construisons un monde solidaire
pour renforcer la pratique sage-femme mondialement!
Pour la première fois dans notre ère moderne, les tenants
de la santé communautaire internationale reconnaissent
l’importance de consolider les services de sages-femmes
en tant que composante de première importance dans la
réduction de la mortalité et de la morbidité maternelle et
infantile dans les pays à faibles ressources. Le Secrétaire
général de l’ONU, Ban Ki Moon, a mené de front une
campagne dans laquelle les pays se sont engagés à
contribuer des milliards de dollars pour répondre aux
exigences fixées par les Objectifs du millénaire pour
le développement 4, 5 et 6 d’ici 2015, lesquels visent
notamment le renforcement des ressources humaines dans
la profession de sage-femme.
Les modèles de pratique sage-femme au Canada et aux
É.-U. ont un profond impact sur la manière dont nos
gouvernements respectifs appuient ces efforts à l’échelle
mondiale. Cette allocution examinera les implications
politiques de nos modèles de pratique et l’urgence
d’élaborer une vision commune qui guidera l’avenir de
la profession de sage-femme sur ce continent et dans le
monde entier.
9:30pm – 11:00pm (Great Room A/Exhibits)
Welcome Reception/Exhibits
21
Thursday / jeudi, November 10th 2011
Thursday, November 10th, 2011
Schedule/Horaire
(Presentation summaries pages 23 to 27)
7:00am – 8:00am
8:00am – 9:00am
Ballroom/Great Rooms B&C
Holly Powell Kennedy, CNM, PhD, President ACNM;
Geradine Simkins, DEM, CNM, MSN, President, MANA;
Anne Wilson, RM, President CAM/ACSF
Beyond Boundaries: A Discussion about North American
Midwifery by Three Presidents
9:00am – 10:00am
22
Keynote Speaker: Naoli Vinaver, CPM
On Curiosity and Love: The Ins and Outs of Birth
10:00am – 10:30am
10:30am – 12:00pm
Strategy Room 1
Debbie Mpofu, RM, BScN, HV, MEd, PhD; Lori Hanson,
MSc, PhD; Jessica Bailey, RM, MA, BA, BhSc (30 min)
Equity and Access to Midwifery Services in a Canadian
Context: Experiences in Five Jurisdictions
Kate T. Finn, MS, LM (30 min)
Establishing Health Care System Support for Collaborative
Relationships between Home Birth Midwives and
Obstetrical Providers
Strategy Room 2
Saraswathi Vedam, RM, FACNM, MSN, Sci D (h.c.); Karyn
Kaufman, RM, PhD; Jo Anne Myers-Ciecko, MPH; Ronnie
Lichtman, CNM, PhD, FACNM; Suzy Myers, LM, CPM, MPH;
Beth Murray Davis, PhD; Holly Scholles, MA, CPM, LDM
(90 min)
The Midwife as Professor: A Panel Discussion
Strategy Room 3
Brynne Potter, CPM; Illysa Foster, CPM, Med (90 min)
Informed Consent and the New Health Care Laws
Strategy Room 7
Stephanie DeVane-Johnson, CNM, MSN (30 min)
Rickets and Vitamin D Deficiency in Breastfeeding Babies
Born to Women of Color
Tasha MacDonald, RM, MHSc; Kathleen Saurette, RM (30 min)
Management of PROM at Term: A Clinical Practice
Guideline from the Association of Ontario Midwives
Monique Pereboom, MSc (30 min)
A Study to Assess Pregnant Women’s Understanding of
Toxoplasmosis, Listeriosis and Cytomegalovirus
Upper Fallsview Studio A
Janneke Gitsels-van der Wal, MA (30 min)
Misconceptions about Early Termination of Pregnancy in
Islamic law; Dutch Midwives Knowledge of Islam within
the Scope of Client Decision Making on Prenatal Screening
Nicole Bennett, RM; Nadya Burton, PhD (30 min)
The Creative Work of Providing Midwifery Care to Women
without Health Insurance: Adapting Care to the Needs of
Marginalized Communities
*Emmanuelle Hébert, SF, MA (30 min)
Le jumelage d’associations: les sages-femmes du Canada
et de la Tanzanie maintenant jumelles!
Twinning Midwifery Associations: Canadian and Tanzanian
midwives unite!
*(Presentation in French with English translation)
Upper Fallsview Studio B
Tamara Taitt, MS (90 min)
Grieving and Healing After a Traumatic Birth:
Implications for Midwifery Practice
12:00pm – 1:30pm
1:30pm – 3:00pm
Strategy Room 1
Suzy Myers, LM, CPM, MPH; Brynne Potter, LM, CPM;
Holliday Tyson, RM, SCM, MHS (90 min)
Preceptors are Educators
Strategy Room 2
Robbie Davis-Floyd, PhD (45 min)
The International MotherBaby Childbirth Initiative (IMBCI):
Current Implementation Projects
Holly Kennedy, CNM, PhD; Mary Lawlor, CPM, LM, NHCM,
MA; Geradine Simkins, CNM, MSN (45 min)
The ACNM, MANA, and NACPM Joint Normal, Physiologic
Birth Statement: A Collaborative Delphi Project
Strategy Room 3
Diane Page, RM; Lynne-Marie Culliton, RM (30 min)
Vaginal Birth After Caesarean and Vaginal Birth After
Multiple Caesarean: The Bottom Line
Beverley O’Brien, PhD; Natsiq Kango (30 min)
Birth “on the land”: Maternity Experiences of Traditional
Inuit Midwives & Elders
Saraswathi Vedam, RM, FACNM, MSN, Sci D (h.c.);
Lisa Paine (30 min)
North American Midwives: Who Are We and What Do We
Think About Planned Home Birth?
Strategy Room 7
Elizabeth Allemann, MD (60 min)
Detecting Intermediate and Long-Term Complications of
Cesarean Surgery
*Céline Lemay, SF, PhD (30 min)
Quelle décision prendre?
Découverte de la phronesis ou sagesse pratique.
Greater scope of choice —
Phronesis: the Practical Wisdom Approach
Sharon Craig Economides, LM, CPM, MMid (90 min)
Maternal-Child Health and Midwifery in Afghanistan
Upper Fallsview Studio B
Jane Stojanovic, MA, AND, RM, RGON (90 min)
Placental Birth in New Zealand: Yesterday and Today
3:00pm – 3:30pm
3:30pm – 4:30pm
Keynote speaker: Frances Ganges, CNM, RM, MPH
Advocacy in Action: Midwives at the Table, On the Agenda,
Making Change
Summaries/Résumés
(résumés en français disponibles seulement pour les
présentations traduites simultanément)
Holly Powell Kennedy, CNM, PhD, President ACNM;
Geradine Simkins, DEM, CNM, MSN, President, MANA;
Anne Wilson, RM, President CAM/ACSF
Beyond Boundaries: A Discussion about North American
Midwifery by Three Presidents
This round table presentation will address the following:
a) What are the two most important current health issues
for women, infants, and families? b) What can the profession
of midwifery do to address those issues? c) What are the
most important, current issues facing the profession of
midwifery today? d) What is your organization doing to meet
those? e) What can we learn from one another to develop
strength in our professional identity and practice? f) What
is important in order to sustain the midwifery profession?
g) In what ways can we cross boundaries to support and
collaborate effectively with one another?
Au-delà des frontières: trois présidentes discutent
de la pratique sage-femme en Amérique du Nord
La présentation de cette table ronde portera sur les sujets
suivants : a) Dans le domaine de la santé, quels sont les
deux aspects actuels les plus importants pour les femmes,
les nourrissons et les familles ? b) Que peut faire la
profession de sage-femme afin de répondre à ces besoins ?
c) Aujourd’hui, quelles sont les points les plus importants
auxquels la profession de sage-femme doit faire face ?
d) Quelles méthodes votre organisation utilise-t-elle pour
relever ces défis ? e) Que pouvons-nous apprendre l’une
de l’autre pour renforcer notre identité professionnelle et
notre pratique ? f) Que serait-il important de travailler pour
que la profession de sage-femme puisse survivre à long
terme ? g) De quelles façons pouvons-nous dépasser les
frontières pour nous soutenir mutuellement et collaborer
effectivement ensemble ?
Keynote Speaker: Naoli Vinaver, CPM
On Curiosity and Love: The Ins and Outs of Birth
Birth is the art of expansion. It is the art of going from a
closed state of being to a state of utter openness. Birth is
the exercise of leaving one state of emotion, of body and of
mind while moving into an unknown state of new being. It
is being born with no possibility of false pretense no matter
your age. And although some people can do this without
sweating it, without effort and in all ease, most of us require
our fullest attention, dedication and skill in order to learn all
that is to be learned from this miraculous act of birthing and
of assisting birth. The Boundaries are a mystery that require
our most devoted of curiosities and love.
23
À propos de la curiosité et de l’amour :
la naissance dévoilée
La naissance est l’art de l’expansion. C’est l’art de voyager
d’un état de fermeture à un état de totale ouverture. La
naissance, c’est faire la démarche de quitter un état mental,
corporel et émotionnel en se déplaçant en même temps
vers l’état inconnu d’un être nouveau. C’est renaître sans
possibilité de faux-semblant quelque soit votre âge. Même
si certaines personnes peuvent facilement se mettre dans
cet état sans efforts ou sueurs, la plupart d’entre nous ont
besoin de concentration, d’ardeur et de compétences pour
intégrer tout ce qu’il y a à apprendre de l’acte miraculeux
de la naissance et de l’assistance à l’accouchement. Ces
limites sont mystérieuses et nécessitent la plus dévouée
des curiosités et le plus grand amour.
24
Debbie Mpofu, RM, BScN, HV, MEd, PhD; Lori Hanson,
MSc, PhD; Jessica Bailey, RM, MA, BA, BhSc
Equity and Access to Midwifery Services in a Canadian
Context: Experiences in Five Jurisdictions
This session presents an overview of Phase I of the
research project entitled, “Equity in Access to Midwifery
Care in the Saskatoon Health Region.” The presenter(s)
will provide an overview of Phase I of this SHRF funded
program of research that included interviews with
midwifery professionals, policy-makers and researchers
as well as document review across 5 Canadian provinces
and territories (BC, MB, ON, NS, NWT). Following the
presentation the presenters will lead a discussion of the key
findings, including how the various practice arrangements
across these provinces influence equity in access to
midwifery services.
Kate T. Finn, MS, LM
Establishing Health Care System Support for Collaborative
Relationships between Home Birth Midwives and
Obstetrical Providers
Developing collaborative relationships with obstetrical
providers is both necessary and often challenging for home
birth midwives. Maternity system planners are already
focused on closing gaps in communication and coordination
of care when transfers occur within the system. With these
convergent goals, midwives can foster a system wide
acceptance of home birth by working within the Regional
Perinatal System to develop a culture of collaboration,
beginning with the Regional Perinatal Center and rippling
out to local hospitals.
Saraswathi Vedam, RM, FACNM, MSN, Sci D (h.c.); Karyn
Kaufman, RM, PhD; Jo Anne Myers-Ciecko, MPH; Ronnie
Lichtman, CNM, PhD, FACNM; Suzy Myers, CM, CPM, MPH;
Beth Murray Davis PhD; Holly Scholles, MA, CPM, LDM
The Midwife as Professor: A Panel Discussion
This discussion will be led by a collaboration of academic
midwives: educators, researchers and leaders of the
profession. Taking advantage of this joint conference
opportunity, the panel brings together educators from
different institutions and backgrounds within North
American midwifery to consider the challenges and
strategies for building capacity in the next generation of
academic midwives. Moderated by Jo Anne Myers-Ciecko,
the panel members will discuss their respective pathways
into academic midwifery and the impact and role of
academic midwifery. The panel will conclude by offering
suggestions for the next generation regarding how best to
prepare for an academic midwifery career.
Brynne Potter, CPM; Illysa Foster, CPM, Med
Informed Consent and the New Health Care
Laws
An ethical perspective of Informed Consent as an ongoing
process of communication and documentation dovetails
with specific initiatives in new US Health Care law
including “preference sensitive care” and “decision making
aids’ for maternity care. We will outline the NARM updated
standards for Informed Consent and review current and
developing methods for implementing Informed Consent
into practices settings that reflect on social, cultural, and
other individualized needs of midwifery clients as well as
tools for communicating these new standards to the general
public for midwifery advocacy.
Stephanie DeVane-Johnson, CNM, MSN
Rickets and Vitamin D Deficiency in Breastfeeding Babies
Born to Women of Color
In recent years, there has been increased debate regarding
Vitamin D deficiency and its impact on health and wellness.
This debate has sparked interest in the mass media and
thereby, raising the awareness in the general population.
Vitamin D deficiency is most prevalent amongst woman and
children of color. Recently there has been resurgence in the
Incidence of Rickets in the African-American community
due to Vitamin D deficiency. African-American breastfed
babies whose mothers are Vitamin D deficient are at
higher risk of developing Rickets. Of note, another high
risk population for development of Vitamin D deficiency are
women whose cultural practices are to cover their bodies
from head to toe, known as “purdah”. This presentation has
both significant medical as well as cultural relevance with
regard to its impact on underserved populations. The goal
of the presentation is to provide an evidenced based look
at the recommendations for Vitamin D supplementation in
pregnancy, lactation and newborns. An additional goal is
to provide healthcare practitioners with information that
will affect their practice, awareness, and sensitivity to this
important issue and its impact on women and babies of color.
Tasha MacDonald, RM, MHSc; Kathleen Saurette, RM
Management of PROM at Term: A Clinical Practice
Guideline from the Association of Ontario Midwives
This session will examine the AOM’s CPG on the
Management of PROM at Term, published in 2011. This
CPG was developed based on key values and preferences
relevant to PROM at Term from the perspectives of
both midwives and clients, with special emphasis on
considerations related to technology, intervention, and
the promotion of normal birth.
Presenters will describe current research on the
management of PROM at term, including the impact of
PROM on maternal and neonatal outcomes, diagnosis and
assessment of PROM, induction of labour vs. expectant
management, monitoring of maternal and fetal well-being,
choice of birthplace, PROM and GBS.
Monique Pereboom, MSc
A Study to Assess Pregnant Women’s Understanding of
Toxoplasmosis, Listeriosis and Cytomegalovirus
Literature suggests that pregnant women don’t always get
enough information about infectious disease prevention
from their prenatal care provider because of time
constraints or because it has a lower priority than other
pregnancy related risks. However, counselling about food
and hygienic measures remain an important part of prenatal
care and it is important that pregnant women receive these
messages in an appropriate way. Therefore, the objective
of this study is to gain information about pregnant women’s
knowledge about preventable behaviours of toxoplasmosis,
listeriosis and cytomegalovirus infections. Another aim is
to gain information of their actual preventive behaviours
during pregnancy.
Janneke Gitsels-van der Wal, MA
Misconceptions about Early Termination of Pregnancy in
Islamic law; Dutch Midwives Knowledge of Islam within
the Scope of Client Decision Making on Prenatal Screening
Prenatal screening is offered to all pregnant women and
provides them with health information of the fetus. If the
fetus has serious abnormalities, there are two options
possible: either optimization or termination of pregnancy.
Religious background plays a role in decision making on
prenatal screening. Muslim pregnant women often declined
the combined test on behalf of their religion. Which are their
arguments to decline and which possibilities are provided
by Islamic law? What do Dutch midwives know about
restrictions of termination? Midwives and Muslim women
as well are more informed about restrictions than about
possibilities of termination.
Nicole Bennett, RM; Nadya Burton, PhD
The Creative Work of Providing Midwifery Care to Women
without Health Insurance: Adapting Care to the Needs of
Marginalized Communities
This presentation is concerned with the experiences of
midwives who provide care in Ontario to women who are
not covered by public health insurance. In Ontario, there are
several communities of women who fall into this category;
amongst them those who are ineligible for public health
insurance (often due to their immigration status) and those
who have opted out (usually for cultural/religious reasons).
This presentation explores how midwives, as frontline
health care providers, organize their work to provide care
for these two populations both of which, for their own
unique reasons, are disproportionally at risk for poor
prenatal outcomes.
*Emmanuelle Hébert, SF, MA
Le jumelage d’associations: les sages-femmes
du Canada et de la Tanzanie maintenant jumelles!
La confédération internationale des sages-femmes (ICM)
a mis sur pied un projet de jumelage d’association visant
à renforcer les capacités des sages-femmes et ainsi
améliorer la santé des mères et des bébés. L’Association
canadienne des sages-femmes (ACSF) a été choisie pour
faire partie de ce fabuleux projet et est donc maintenant
jumelée avec l’association des sages-femmes de Tanzanie
(TAMA). Trois représentantes de l’ACSF se sont rendues à
La Haye cet automne pour travailler sur un plan stratégique
avec leurs jumelles de Tanzanie. Lors de cette présentation,
les objectifs généraux souhaités par ICM concernant ce
jumelage seront présentés, ainsi que l’expérience vécue
avec nos jumelles tanzaniennes jusqu’à maintenant.
Twinning Midwifery Associations:
Canadian and Tanzanian midwives unite!
In an effort to build capacity amongst midwives and to
improve the health of women and babies, the International
Confederation of Midwives (ICM) has launched a twinning
project. The Canadian Association of Midwives (CAM)
was chosen to take part in this wonderful project and has
been paired-up with the Tanzania Registered Midwives
Association (TAMA). Three CAM representatives attended a
strategic planning meeting in The Hague this fall alongside
their new Tanzanian counterparts. We will present the goals
of the ICM twinning project and talk about what it has been
like to work with our Tanzanian collegues thus far.
Tamara Taitt, MS
Grieving and Healing After a Traumatic Birth:
Implications for Midwifery Practice
Only a small proportion of women develop post traumatic
stress disorder (PTSD) after birth which meets the
diagnostic criteria for PTSD: yet many as 25-33% perceive
their birth’s to be traumatic and demonstrate partial
25
symptoms. This presentation will review existing research,
review risk factors and discuss birth trauma within the
context of post traumatic stress as a traumatic event
“outside of the normal range of experience”. The presenter
will discuss the manifestations of trauma symptoms in the
perinatal period, what therapies are effective in helping
women address trauma and appropriate ways to address
birth trauma in prenatal midwifery counseling.
Suzy Myers, LM, CPM, MPH; Brynne Potter, LM, CPM;
Holliday Tyson, RM, SCM, MHS
Preceptors are Educators
Clinical preceptors provide an essential component of
midwifery student education. This workshop will be
facilitated by 3 US and Canadian educators and provide
several different components: a) an overview of how to
integrate students into your midwifery practice, what
students want and need, and specific tools and techniques
for dealing effectively with the challenges of being a
preceptor; b) various routes to certification and registration
and how the preceptor functions for each; c) tools to help
preceptors work with students who have English as an
acquired language. The session will involve case examples
and interactive discussion.
26
Robbie Davis-Floyd, PhD
The International MotherBaby Childbirth Initiative (IMBCI):
Current Implementation Projects
This presentation describes the history, principles, and 10
Steps of the International MotherBaby Childbirth Initiative
(IMBCI), which was created by the International MotherBaby
Childbirth Organization (formerly the CIMS International
Committee), and launched in March 2008. The IMBCI
is currently being put to work in 9 pilot/demonstration
projects in hospitals in Austria, Quebec, Brazil, the
Philippines, South Africa, India, and Mozambique (2 sites),
and via the construction in many countries of MotherBaby
networks (MBnets). A critical component of the IMBCI is
that it highlights the fact that “women’s and children’s rights
are human rights” and that access to humane and effective
health care is a basic human right”.
Holly Kennedy, CNM, PhD; Mary Lawlor, CPM,
LM, NHCM, MA; Geradine Simkins, CNM, MSN
The ACNM, MANA, and NACPM Joint Normal, Physiologic
Birth Statement: A Collaborative Delphi Project
There has been increasing “normalization” of technological
procedures in childbirth, including labor induction and
cesarean delivery, without an improvement in outcomes.
Many countries have created statements defining and
describing “normal” birth, yet none exists in the U.S. The
purpose of this study was to develop a consensus-based
position statement on normal birth by U.S. midwives
and other stakeholders. A Delphi study was conducted
using iterative survey rounds to define attributes and
consequences of normal birth. It has been reviewed at
ACNM, ICM, and the Research Conference on Normal Birth
in England. We are close to a final draft and will share the
findings with participants in the session for their comments.
Diane Page, RM; Lynne-Marie Culliton, RM
Vaginal Birth After Caesarean and Vaginal Birth
AfterMultiple Caesarean: The Bottom Line
As a contradiction to emerging trends, evidence based
research shows vaginal birth after cesarean (VBAC) and
vaginal birth after multiple cesarean (VBAmC) are safe
and supported options for pregnant women. Using current
research and recent guidelines, our presentation will
explore the culture of VBAC and VBAmC in North America.
From within the obstetrical community, the application of
this evidence and approach to management varies widely.
Our multimedia presentation also uses the voices of women
to express their experiences of cesarean and vaginal birth
after cesarean.
Beverley O’Brien, PhD; Natsiq Kango
Birth “on the land”: Maternity Experiences of Traditional
Inuit Midwives & Elders
Traditionally in Nunavut, a large and sparsely populated area
of the Canadian Arctic, birth was integrated into community
life. Southern health workers suppressed Inuit maternity
providers and birth was moved to southern centres. So
that Inuit women can return to culturally meaningful
birth experiences, a midwifery education program is
underway to insure cultural safety while meeting Canadian
standards. Traditional Midwives and Elders with maternity
experience before southern health care arrived shared their
knowledge. A focused ethnography utilizing audio recorded
conversations/interviews with 25 Elders and Traditional
Midwives throughout Nunavut was conducted. Themes from
their stories are the focus of this presentation.
Saraswathi Vedam, RM, FACNM, MSN, Sci D (h.c.); Lisa Paine
North American Midwives: Who Are We and
What Do We Think About Planned Home Birth?
This presentation will compare findings from the
CIHRfunded Canadian Birth Place Study’s survey of
Registered Midwives (n=451) and a survey of Certified
Nurse-Midwives in the United States (n=1893). Both
studies examine midwives’ experiences with and attitudes
towards planned home birth. This presentation will describe
similarities and differences with respect to educational
preparation, practice experience, socio-demographic
factors, and attitudes towards planned home birth between
Canadian Registered Midwives and American Certified
Nurse-Midwives. This presentation will also compare the
practice environments, structural supports or barriers to
home birth practice, and inter-professional contexts that
may relate to home birth practice in each practice context.
Elizabeth Allemann, MD
Detecting Intermediate and Long-Term
Complications of Cesarean Surgery
Cesarean surgery, like all abdominal surgery, carries the
risk of intermediate and long term complications, which
may present weeks, months or even years after the mother
has left the hospital and may no longer be under the care
of the surgeon who performed the surgery. Midwives may
encounter women experiencing the complications of deep
Venous Thrombosis (DVT), Pulmonary Embolus (PE), or
Small Bowel Obstruction) SBO. Familiarity with these
potentially lethal complications of surgery may be helpful
to midwives as they care for women.
*Céline Lemay, SF, PhD
Quelle décision prendre? Découverte de la phronesis
ou sagesse pratique.
1. Caractéristiques de la grossesse et l’accouchement
2. Spécificité de la pratique sage-femme
3. Modèle actuel de pratique
4. Problème pour la pratique sage-femme
5. Modèle proposé pas Aristote pour la réalité humaine :
la “phronesis” ou sagesse pratique
6. Conclusion : La phronesis permet à la sage-femme
d’avoir une pratique adaptée à chaque situation et
à chaque femme. Les lignes directrices éclairent sa
pratique mais ne la déterminent pas. La phronesis honore
l’ethos professionnel dessages-femmes tout en leur
permettant d’utiliser les avantages de l’approche EBM.
Greater Scope of Choice — Phronesis: the Practical
Wisdom Approach
1. Characteristics of pregnancy and childbirth
2. Specificity of midwifery practice
3. Current model of midwifery practice
4. The problem before midwifery practice
5. Aristotle’s “phronesis” or practical wisdom model
6. Conclusion: Phronesis allows midwives to adapt their
practice to specific situations and individual women.
Guidelines may provide a framework for midwifery
practice but they do not define it. Phronesis salutes the
midwife’s professional ethos while also allowing her to
leverage the advantages of an EBM approach.
Sharon Craig Economides, LM, CPM, MMid
Maternal-Child Health and Midwifery in Afghanistan
Sharon will present the context of maternal-child health in
Afghanistan, where women are 200 times more likely to
die from a complication of pregnancy and birth than from a
bullet or bomb. She will introduce opportunities to support
Afghan midwives in Afghanistan or from afar.
Jane Stojanovic, MA, AND, RM, RGON
Placental birth in New Zealand: yesterday and today
New Zealand research and midwifery experience suggest
that physiological placental birth is safe and healthy when
used by women having normal pregnancies and spontaneous
physiological low-intervention labours. Historical and current
medical midwifery practices in the management of placental
birth are critiqued and analyzed using a theoretical model
based on factors that optimize placental birth. The theoretical
model is presented as a tool to improve practice for both
actively and physiologically managed placental birth. Topical
oral history interviews with experienced midwives and
doctors, written texts from the seventeenth century onward,
comparative obstetrics, endocrinological research, and
practice wisdom inform this presentation.
Keynote speaker: Frances Ganges, CNM, RM, MPH
Advocacy in Action: Midwives at the Table, On the Agenda,
Making Change
Increasing women’s access to quality midwifery
services has become a focus of global efforts to address
maternalnewborn morbidity and mortality. From the UN to
Parliaments to Capitol Hill to Ministries of Health, before
presidents and within communities, midwives have proven
to be powerful advocates around this issue. The presenter
will use examples to highlight the role of midwives globally
as change agents in advocacy, policy and practice for
ensuring safe motherhood across geographic boundaries.
Plaidoyer en action: Les sages-femmes, créatrices
dechangement, à la table de négociations et à l’agenda
Une plus grande accessibilité des femmes aux services
de qualité de sages-femmes est devenue prioritaire dans
les efforts mondiaux destinés à solutionner les problèmes
de mortalité et de morbidité maternelle et infantile. Les
sages-femmes, qu’elles soient aux Nations-Unies, au
Parlement, au Capitole ou face aux ministères de la Santé
ont démontré leur grand pouvoir de représentation face à
ce problème. La conférencière utilisera des exemples pour
illustrer le rôle des sages-femmes en tant qu’agentes de
changement, que ce soit au niveau de la représentation, de
la politique ou de la pratique, pour assurer une maternité
sécuritaire au-delà de toutes les frontières géographiques.
27
Friday / vendredi, November 11th 2011
Friday, November 11th, 2011
Schedule/Horaire
7:00am – 8:00am
8:00am – 9:00am
Plenary Speaker: Barbara Katz-Rothman, PhD
Splashing in New Waters: Beyond 2nd Wave of Feminism.
9:00am – 10:00am
Panel Discussion
28
Liz Darling, RM, PhD; Melissa Cheyney, PhD, CPM, LDM
Midwifery Databases: Streamlining, Expanding, and Going
Public in the US and Canada
Strategy Room 3
Lisa Kane Low, PhD, CNM, FACNM, (60 min) University of
Michigan Assistant Professor Preventing Genital Tract Trauma
Optimal Care During the “Final Stretch”
Manavi Handa, RM, MHSc; Simone Rosenberg (30 min)
Midwives as Abortion Providers
Strategy Room 5
Lorna McRae, MSW, BHSc, RM; Heather Wood, BA, BHSc,
RM (90 min)
Meeting on the Margins (Part 2): Social Change, Our
Selves and Midwifery Care
Strategy Room 7
Sherry Payne, MSN, RN (90 min)
Lessons from Haiti: Disaster Planning and the Midwifery
Model to Promote Maternal Infant Health
Suzanne Tully, RM, Certified Herbalist (90 min)
Arvigo Technique of Maya Abdominal Therapy for Pregnancy
10:00am – 10:30am
12:00pm – 1:30pm
10:30am – 12:00pm
1:30pm – 3:00pm
Strategy Room 1
Juana Berinstein, MA (30 min)
Midwives Making Change: Developing an Advocacy Strategy
Brynne Potter, CPM (30 min)
Patient Centered Health Records are the Pathway to a
Healthy Maternity System
Strategy Room 2
Karline Wilson-Mitchell, RM, CNM, RN, MSN;
Joanna Anneke Rummens, PhD (30 min)
Maternal/Newborn Health Status of Uninsured New
Immigrant/Refugee Women in Greater Toronto Area:
Midwifery Perspective on Social Determinants of Health
Monique Pereboom, MSc (30 min)
Knowledge About Infectious Diseases Among
Primary Care Midwives
Carly Beaulieu, BA, Bed, ASM (30 min)
Hydrotherapy in Labour and Birth:
A Manual for Health Professionals in Canada
Katsi Cook, AM; Marinah Farrell, CPM, LM; Manavi Handa,
RM, MHSc; Jennie Joseph, LM, CPM; Jay MacGillivray, RM;
Yeshi Neumann, CNM, MPH, MA, IBCLC
Social Justice Panel Discussion: Midwives as ShiftShapers on the Front Lines of Social Change
3:00pm – 3:30pm
3:30pm – 4:30pm
Keynote Speaker: Andrew Kotaska, MD
Informed Consent: When Autonomy and Beneficence Collide
4:30pm – 5:30pm
Problems with Physiologic Care Research
in a Medical Management Environment
5:30pm – 11:00pm
Benefit Dinner for the National Aboriginal
Council of Midwives (NACM)
(For more information see page 10)
7:30pm – 11:00pm
Fundraiser for the Foundation for the
Advancement of Midwifery (FAM)
(For more information see page 10)
Summaries/Résumés
Plenary Speaker: Barbara Katz-Rothman, PhD
Splashing in New Waters: Beyond 2nd Wave of Feminism
Women today, no less thoughtful or concerned than the
founders of our midwifery movement, face a very different
world. We went from the urban-myth of bra-burning
to Madonna’s corsets in one generation and now the
meatdress of Lady Gaga in the next; from refusing to shave
our legs to waxing labia; and – we rightly worry – from
underground midwifery to elective cesareans. We used
to have to battle ignorance –a decade of “What to Expect”
and the move of self-help from living rooms to sponsored
on-line forums changed that . Now we battle ‘information.’
We will talk about how to strengthen a midwifery that has
its roots in second wave feminism, but swims along in new
currents, reaches and changes women, brings more and
more young women the power of birth.
Plonger dans de nouvelles eaux : après la deuxième vague
de féminisme
Les femmes d’aujourd’hui ne sont pas moins futées ou
moins préoccupées que leurs consœurs fondatrices du
mouvement des sages-femmes, mais le monde a beaucoup
changé depuis. En une seule génération, nous sommes
passées du mythe urbain du soutien-gorge qu’on brûlait
aux corsets de Madonna jusqu’à la robe de viande de Lady
Gaga; du temps où l’on refusait de se raser les jambes à la
coupe brésilienne d’aujourd’hui; et d’une pratique sagefemme dans la clandestinité aux césariennes itératives.
Auparavant, nous combattions l’ignorance, soit une dizaine
d’années axée « sur quoi on devrait s’attendre » suivie du
mouvement d’entraide qui se déroulait dans nos salons.
Nous nous sommes ensuite tournées vers des forums sur
internet commandités et maintenant, nous combattons «
l’information ». Nous échangerons sur la façon de renforcer
la pratique sage-femme qui, issue de la seconde vague
féministe, suit de nouveaux courants où nous atteignons et
transformons les femmes, en amenant de plus en plus de
jeunes femmes à ressentir la puissance de la naissance.
Liz Darling, RM, PhD; Melissa Cheyney, PhD, CPM, LDM
Midwifery Databases: Streamlining, Expanding, and Going
Public in the US and Canada
This presentation will describe work being done in both the
US and Canada to support the collection of high quality data
for midwife-attended births. The Division of Research of the
Midwives Alliance will discuss their plans for a new annual
reporting project. The current state of midwifery data
collection across Canada will be reviewed and a project
aimed at facilitating complete collection of data for all
midwife-attended births across Canada will be described.
Juana Berinstein, MA
Midwives Making Change: Developing an Advocacy Strategy
A playful but insightful look at the forces at play in shaping
government decisions, with a particular focus on midwifery
advocacy and efforts to shape the maternal and newborn
care landscape.
Brynne Potter, CPM
Patient Centered Health Records are the Pathway to a
Healthy Maternity System
Midwifery means putting women at the center of everything,
including the health record. While government and private
initiatives are now encouraging a patient centered system
of care delivery, the key to a healthy system lies in
patients changing perceptions of their options and power.
By seeing themselves at the center of their own health
care decisionmaking process, women can achieve the
empowerment that midwifery care is designed to provide.
We will focus on how sharing not just the data in the chart
but a summary of each visit an opportunity to document the
process of Informed Choice and Shared Decision Making.
Karline Wilson-Mitchell, RM, CNM, RN, MSN;
Joanna Anneke Rummens, PhD
Maternal/Newborn Health Status of Uninsured New
Immigrant/Refugee Women in Greater Toronto Area:
Midwifery Perspective on Social Determinants of Health
This presentation summarizes the findings of a retrospective
study of health outcomes for uninsured new immigrant and
refugee women who birthed between 2007 and 2011 in the
Toronto area. The study reviewed perinatal outcomes to
determine whether access to health insurance influenced
the health status of newcomer women. Access to high
quality healthcare is a social determinant to health. The
study contributes to the growing body of knowledge about
immigration, access to health insurance and disparities in
29
the healthcare system. This session will invite participants
to discuss the diverse characteristics of the populations they
serve and explore interventions that may promote equitable
access to maternity care by vulnerable members of their
communities, such as new immigrants and refugees.
Monique Pereboom, MSc
Knowledge About Infectious Diseases Among
Primary Care Midwives
Some infectious diseases can be prevented during pregnancy
by preventive behaviour of pregnant women. However, in
order to be able to change their behaviour, pregnant women
should be aware of the risk of infections and of preventive
behaviours during pregnancy. Awareness of the transmission,
risk factors and preventive measures of infectious diseases
is essential for midwives to inform their patients as good as
possible. Unfortunately, it is unknown whether primary care
midwives counsel their patients appropriately. The objective
of this study was to gain information about the knowledge,
counselling and screening practices of midwives regarding
infectious diseases in the Netherlands.
30
Carly Beaulieu, BA, Bed, ASM
Hydrotherapy in Labour and Birth: A Manual for
Health Professionals in Canada
Hydrotherapy is not routinely used in hospitals throughout
Canada due in part to a lack of awareness about the
benefits of hydrotherapy amongst those who provide
maternity care. This presentation will detail my master’s
thesis project where I have designed a manual to
inform care givers of pregnant women about the use of
hydrotherapy during the intrapartum period. Topics include
normal birth, risks and benefits, guidelines and protocols,
and evidence based practice. There will be time for
discussion about how to implement the use of hydrotherapy
in to individual practice settings.
Lisa Kane Low, PhD, CNM, FACNM, (60 min) University of
Michigan Assistant Professor Preventing Genital Tract Trauma
Optimal Care During the “Final Stretch”
Recent attention has focused on question of pelvic floor
damage secondary to the experience of vaginal birth.
Interestingly, the actual events of end second stage
labor have rarely been captured in investigations aimed
at identifying prevention of genital tract trauma and
subsequently pelvic floor damage. The goal of this session is
to engage in a review of the literature and available evidence
base supporting best practices to promote optimal perineal
and pelvic floor outcomes during childbirth. The focus will
be on the final stretch which includes the dynamics of end
stage pushing and preventing genital tract trauma.
At the completion of this session participants will be able to
1. Identify evidence based practices to promote effective
end second stage pushing to minimize risk of pelvic
floor disruption.
2. D
iscuss potential challenges to the use of self-directed
pushing during end second stage labor
3. List five evidence based approaches to promoting perineal
integrity during the final stage of pushing and birth.
4. D
escribe at least two strategies for promoting optimal
perineal and pelvic floor outcomes following second stage.
Manavi Handa, RM, MHSc; Simone Rosenberg
Midwives as Abortion Providers
Legal abortion is becoming increasingly inaccessible around
the world, mainly due to a shortage of providers. The WHO
has declared it would be beneficial for midwives to expand
their care to include abortion provision. As midwives
across North America continue to become autonomous
health care providers it is necessary to examine whether
they should and/or could expand their scope to include
abortion services. We have begun a survey of Ontario
midwives’ attitudes towards abortion provision. We will
discuss the preliminary findings of the survey, relevant
international research and how termination is covered in
Canadian midwifery education programs.
Lorna McRae, MSW, BHSc, RM; Heather Wood, BA, BHSc,
RM
Meeting on the Margins (Part 2): Social Change, Our
Selves and Midwifery Care
By examining intersections of power and control in the
lives of our clients who may be from non-dominant social,
economic, racial and cultural backgrounds and the effect
of power and control in our own lives and clinical practice
we can improve our midwifery skills in serving women
who face marginalization in the above areas. The workshop
builds on a previous session examining micro and macro
barriers and opportunities to engage fully with marginalized
groups while providing midwifery care. Participation in the
previous CAM 2010 session is not necessary.
Sherry Payne, MSN, RN
Lessons from Haiti: Disaster Planning and the Midwifery
Model to Promote Maternal Infant Health
Ms. Payne will share her experiences during three trips
following the Jan/2010 earthquake to assist with maternal
infant healthcare. Learn how the midwifery model of
care works with disaster planning & care delivery
following a disaster.
Suzanne Tully, RM, Certified Herbalist
Arvigo Technique of Maya Abdominal Therapy for Pregnancy
Arvigo Techniques of Maya Abdominal Therapy (ATMAT) is
based on Dr. Rosita Arvigo’s apprenticeship with Maya healer
and shaman Don Elijio Panti, and midwife Miss Hortense
Robinson from Belize, Central America. In this presentation,
you will learn how these ancient tenchniques relieve
pregnancy discomforts, and shorten the length of the labor
and pushing stages. This hands-on method of healing gives
midwives a traditional treatment to use in their practices.
Katsi Cook, AM; Marinah Farrell, CPM, LM; Manavi Handa,
RM, MHSc; Jennie Joseph, LM, CPM; Jay MacGillivray,
RM; Yeshi Neumann, CNM, MPH, MA, IBCLC
Social Justice Panel Discussion: Midwives as ShiftShapers on the Front Lines of Social Change
North American midwives will share their stories and
perspectives about how their work in the world as
midwives is inseparable from their work for social justice.
They will give the participants who attend this lively panel
presentation an opportunity to explore these questions:
What is the relationship between my work as a midwife
and the quest to create a world of peace and justice for our
children and for generations to come? What is the role of
my midwifery organization in that quest?
Keynote Speaker: Andrew Kotaska, MD
Informed Consent: When Autonomy and Beneficence Collide
Dr. Kotaska will address the ethical concepts of autonomy
and beneficence as they relate to the process of informed
consent. He will develop a framework for optimal informed
consent that includes: a women’s right to complete unbiased
information regarding all clinical alternatives, including no
intervention, her right to access her chosen alternative,
and her right to decline any recommended treatment
without prejudice-nonetheless to receive excellent care in
accordance with her values and choice. Dr. Kotaska will
discuss the critical value of the therapeutic alliance and
challenge caregivers to preserve it, even when women’s
choices diverge from guidelines. He will provide practical
advice on risk estimation, incorporate “fuzzy logic” into
clinical decision making and highlight the difference between
“offering” and “recommending” intervention. The integral
role of clinician objectivity, humility, and selfawareness to
achieving truly informed consent will be explored.
Consentement éclairé : quand il y a collision entre
l’autonomie et la bienfaisance
Dr. Kotaska abordera les concepts éthiques d’autonomie et
de bienfaisance ainsi que leur relation dans le processus du
consentement éclairé. Il élaborera un cadre visant à optimiser
le consentement éclairé, notamment : Le droit pour les
femmes de recevoir une information impartiale sur toutes les
options cliniques, y compris l’absence d’intervention, Leur
droit à accéder à l’option choisie, Leur droit de refuser tout
traitement recommandé sans être victime de préjugés, tout en
étant assurée de recevoir d’excellents soins en accord avec
leur choix et leurs valeurs. Dr. Kotaska discutera de la valeur
critique d’une alliance thérapeutique et mettra au défi les
soignants de la préserver même lorsque le choix des femmes
diverge des lignes directrices. Il nous avisera de façon pratique
sur l’estimation du risque, la façon d’incorporer la « logique
floue » lors de la prise de décisions cliniques et mettra en
évidence la différence entre « offrir » et « recommander »
une intervention. Il explorera le rôle intégral de l’objectivité,
l’humilité et la connaissance de soi chez le clinicien qui
permettent de parvenir à un consentement réellement éclair
Problems with Physiologic Care Research
in a Medical Management Environment
Based on a lifetime career of reviewing, analyzing, and
synthesizing the obstetric research, this critical analysis of
the literature will explore inherent methodologic problems
of research design and execution that bias and skew results
when studying physiologic care in childbirth. It will answer
the questions: “Why don’t studies show more benefit from
physiologic care?” and “Why don’t studies show more
harm from medical model management?” and will include
strategies for identifying common flaws and weaknesses
in obstetric studies, thereby enabling more discerning
reading of the research evidence and more skilled defense
of physiologic care.
Les problèmes avec la recherche sur les soins physiologiques
dans un environnement de prise en charge médicale
Cette analyse critique de la littérature médicale, basée
sur une carrière vouée à la revue, l’analyse et la synthèse
de recherches en obstétrique, explorera les problèmes
méthodologiques inhérents à la conception et l’exécution
des recherches qui font preuve de préjugés et faussent
les résultats lors des études sur les soins physiologiques
au cours de l’accouchement. Nous trouverons réponse
à des questions comme celles-ci : « Pourquoi les études
ne démontrent pas plus de bénéfices découlant des soins
physiologiques ? » et « Pourquoi les études ne relèvent pas
plus de problèmes liés au modèle de gestion médicale ? ».
Ce questionnement inclura des stratégies d’identification
des fautes et des faiblesses communes retrouvées dans
les études en obstétrique, ce qui permettra une lecture
plus avisée des preuves de recherche et une défense plus
qualifiée des soins physiologiques.
31
Saturday / samedi, November 12th 2011
Saturday, November 12th, 2011
Schedule/Horaire
7:00am – 8:00am
Registration/Breakfast/ Exhibits/Posters
Melissa Cheyney, PhD, CPM, LDM (90 min)
The Effects of Optimal Fetal Positioning on Birth
Outcomes: Mixed Methods Analysis in the Homebirth
Context
Strategy Room 7
8:00am – 9:00am
Ballroom/ Great Rooms B&C
Mairi Breen Rothman, CNM, MSN (90 min)
The Heart of Midwifery: Evidence Base for Care of the Spirit
Julie Corey, RM, MHSc; Manavi Handa, RM, MHSc; Tasha
MacDonald, RM, MHSc; Andrea Lea Robertson, RM, MHSc,
PhD(c); Jill Breen, CPM
Rachel Jones, RM; Catherine Connelly, RM (30 min)
Bringing Birth Back to the North
9:15am-10:00am
32
Strategy Room 5
Awards Ceremonies
10:00am – 10:30am Break
10:30am – 12:00pm
Strategy Room 1
Geradine Simkins, CNM, MSN (60 min)
Power, Politics & Profit in Maternity Care:
Why Midwives Matter
Suzy Myers, LM, CPM, MPH (30 min)
Results of Listening to Mothers: Postpartum Surveys
among Women Who Chose Out-of-Hospital Birth in
Washington State
Strategy Room 2
Jay MacGillivray, RM (90 min)
Substance Use, the Sex Trade, Street Involvement and
Midwifery Care. Protocols and Considerations for Practice
Strategy Room 3
Ivy Bourgeault, PhD; Carol Cameron, RM, MA;
Esther Shoemaker PhD(c) (90 min)
A Process and Outcome Evaluation of an Interdisciplinary,
Multifaceted Intervention to Reduce Caesarean Section
Rates in a Low Risk Population
*Cristina Alonso, CPM, MPH; Cristina Galante, RM;
Guadalupe Landerreche, LEO (30 min)
Midwifery in Mexico in the 21st Century
*Maricruz Coronado Saldierna, PM, Consultant on
Midwifery, National Centre for Gender Equity &
Reproductive Health; Xochitl Ferman Flores, PM; Eugenia
García Gómez, Student CASA (30 min)
Professional Midwives in Mexico: Humanizing Birth,
Saving Lives
*(Presentations in Spanish with English translation)
12:00pm – 1:30pm Lunch
1:30pm – 3:00pm
Social Justice as a Guiding Principle of Midwifery Care:
Towards Inclusive and Active Equity In Healthcare
2:30pm-3:00pm
Closing Ceremony
Summaries/Résumés
Julie Corey, RM, MHSc; Manavi Handa, RM, MHSc; Tasha
MacDonald, RM, MHSc; Andrea Lea Robertson, RM, MHSc,
PhD(c); Jill Breen, CPM
This session will provide an overview of various
perspectives on midwifery and ethics from both Canada and
the United States. Each of the 5 participants will address
core issues in ethics and midwifery to stimulate dialogue
and further exploration of this field. Topics discussed will
include: how midwives respond when clients decline their
recommendations, the ethical implications of accountability
and story-telling for midwives, the role of midwives in
pandemic planning, the ethics of VBAC and homebirth and
perspectives on the new MANA Ethics statement. There
will be time at the end for a short question and answer
period at the end of this panel discussion.
Geradine Simkins, CNM, MSN
Power, Politics & Profit in Maternity Care:
Why Midwives Matter
Quality midwifery services that are coordinated and integrated
within health systems ensure that women receive the best
possible healthcare during pregnancy and childbirth. While
efforts to ensure the reproductive rights of every woman
have become a focus of global, national, and regional efforts,
what continues to drive US healthcare to keep midwifery
marginalized? The provocative, startling, heartwarming life
stories of a diverse collection of twentyfive seasoned midwives
reveal a simple truth: a paradigm built on empowerment rather
than fear and profit will return the soul-nourishing aspects to
the childbirth experience—to those giving birth, those being
born, and those who receive babies into their hands.
Suzy Myers, LM, CPM, MPH
Results of Listening to Mothers: Postpartum Surveys
among Women Who Chose Out-of-Hospital Birth in
Washington State
This session will describe the results of a partial replication
of the Listening to Mothers (LTM) II and LTM II Postpartum
Surveys in a population of women in Washington State who
chose an out-of-hospital birth. The research results will
compare the prevalence rates of postpartum depressive
symptoms, PTSD symptoms and diagnosable PTSD as related
to the childbirth experience in the national population in women
who chose hospital births as compared to the Washington
State sub-population of women who chose midwifery care and
planned to deliver in a birth center or at home.
Jay MacGillivray, RM
Substance Use, the Sex Trade, Street Involvement and
Midwifery Care. Protocols and Considerations for Practice
10 years of street work and then 25 years of Midwifery
care to the same communities have given Jay powerful
insights into the needs, priorities and the daily realities of
women affected by the street, substance use and/or the sex
trade. She has worked with Public Health, the Province, the
City of Toronto, shelters, frontline health care clinics and
other agencies with a street focus to develop meaningful
and relevant outreach and care protocols. Using concrete
examples and her own protocols for full spectrum care
modeled on harm reduction principles, Jay will demonstrate
the remarkable rewards of street level Midwifery.
Ivy Bourgeault, PhD; Carol Cameron, RM, MA;
Esther Shoemaker PhD(c)
A Process and Outcome Evaluation of an Interdisciplinary,
Multifaceted Intervention to Reduce Caesarean Section
Rates in a Low Risk Population
This presentation will report on the preliminary findings
from a multidisciplinary team of health and social
science researchers and hospital and community based
maternity care collaborators who are evaluating a range
of interventions that curb high risk care. The ongoing
prospective cohort study consists of a before-after design
for which reliable baseline data is already collected.
Participants in this session will gain the knowledge to
be able to create and apply similar programs to the one
presented in their own setting and be able to use the
research design employed herein to compare the process
and outcome in both settings.
Mairi Breen Rothman, CNM, MSN
The Heart of Midwifery: Evidence Base for Care of the Spirit
Birth is a physiologic process with a spiritual component,
or is it the other way around? Midwives have always known
that the care of the spirit is an important part of care of the
woman’s body. As midwives we take for granted the gifts of
compassion, understanding, comfort, and encouragement,
which are hallmarks of our care. Although we cannot bill
for these aspects of our care, and often leave them out of
our notes, there is a growing body of evidence that it is
these behaviors which make the difference. This session
offers an evidence base for the care of the human spirit as
a crucial component of midwifery, and perhaps the one that
makes the huge difference in outcomes as sited in the 1998
study by Marion MacDorman, et. al of the CDC. The history
of this evidence base will be presented, and supported by
modern exemplars such as Sister Angela’s Holy Family
clinic in Texas, and the data from Sharon Rising’s work in
group prenatal care. By the end, participants will also have
had an opportunity to cite documented examples of care of
the “heart” in their own practice.
33
Rachel Jones, RM; Catherine Connelly, RM
Bringing Birth Back to the North
History of Midwifery in Nunavut, Initiatives of the Rankin
Inlet Birthing project, Nunavut’s midwifery program,
regulatory framework, challenges of working as a midwife
in a remote community.
*Cristina Alonso, CPM, MPH; Cristina Galante, RM;
Guadalupe Landerreche, LEO (30 min)
Midwifery in Mexico in the 21st Century
Currently, in Mexico, homebirth is attended by traditional
Midwives, professionalized midwives trained in independent
programs or other countries and perinatal nurses. Homebirth
rates range from 60% in the southern-most states to
less than 1% in the north. Mexico holds, along with China
and Brazil, one of the highest cesarean rates. A group of
midwives have been meeting since October 2009 to establish
and strengthen the national association representing the
profession and establish a regulatory body. This presentation,
given by three of the founding members of the association,
will cover the current political, social and epidemiological
challenges to strengthening midwifery in Mexico.
*(Presentation in Spanish with English translation)
34
*Maricruz Coronado Saldierna, PM, Consultant on
Midwifery, National Centre for Gender Equity &
Reproductive Health; Xochitl Ferman Flores, PM; Eugenia
García Gómez, Student CASA (30 min)
Professional Midwives in Mexico: Humanizing Birth,
Saving Lives
Professional midwifery, once a thriving profession in
Mexico, was almost almost completely stamped out in the
mid-20th century. Through the midwifery school at the
Centro para los Adolescentes de San Miguel de Allende
(CASA) it has begun to remerge and gain validity in the
Mexican health system. In addition to providing “parto
humanizado” (humanized birth) to women in a country
where they are often treated disrespectfully in public
hospitals, Professional Midwives have now become an
important part of a government strategy to reduce maternal
mortality in the eight Mexicans states with the highest
mortality rates.
*(Presentation in Spanish with English translation)
Social Justice as a Guiding Principle of Midwifery Care:
Towards Inclusive and Active Equity In Healthcare
In a call to integrate our communities, to invigorate our
outreach, and renew our relevance, Jay demonstrates the
powerful role Social Justice has and can play in Midwifery
foundations.
Speaking from experience garnered from more than 25 years
of care provision to the Queer community, Deaf and disAbility
communities, new Immigrants, HIV/AIDS community,
incarcerated women, women affected by poverty, the sex
trade, street culture, substance use and all social detriments
of health, Jay believes the time has come to re-examine
midwifery mandates, our role in the broader community of
women and to enshrine social justice as a principle of care.
La justice sociale en tant que principe directeur des soins
offerts par les sages-femmes : vers une équité active et
intégrante au niveau des soins de santé
Dans un effort pour intégrer toutes nos communautés,
revigorer notre rayonnement et renouveler notre
pertinence, Jay nous démontre la puissance du rôle que
peut jouer la justice sociale dans les fondations de la
pratique sage-femme.
À partir de son expérience générée par plus de 25 ans
de prestations de soins auprès de la communauté
homosexuelle, de celles des sourds et des personnes avec
handicaps, des nouvelles immigrantes, de la communauté
VIH/SIDA, des femmes emprisonnées, des femmes vivant
dans la pauvreté, le commerce du sexe, la culture de la rue,
l’utilisation de substances et tous les préjudices sociaux
affectant la santé, Jay croit qu’il est temps de réexaminer
les mandats des sages-femmes et leur rôle au sein d’une
communauté élargie de femmes. Selon Jay, il est essentiel
d’ancrer la justice sociale en tant que principe de soins.
Notes
35
Biographies
BIOGRAPHIES
Keynote Speakers/CONFÉRENCIERS
Ganges, Frances CNM, RM, MMPH A midwife since 1986, Frances Ganges is known for
her technical expertise in training, development of technical materials, and management of
maternal-newborn health programs and activities. Recently elected to the Board of Directors
for ICM (North America and the Caribbean), Ms Ganges has worked in numerous global
programs, particularly sub-Saharan Africa. For instance, she has served as Senior Newborn
Health Advisor for Save the Children; Senior Technical Advisor for ACNM’s Department of
Global Outreach and Deputy Senior Nursing Officer for a rural hospital in Uganda. Frances
is currently Director, Technical Oversight and support for the White Ribbon Alliance for
Safe Motherhood (WRA), where she provides overall technical direction to the WRA Global
Secretariat and National Alliances in 15 countries.
36
Goer, Henci, award-winning medical writer and internationally known speaker, is the author
of The Thinking Woman’s Guide to a Better Birth. Her previous book, Obstetric Myths Versus
Research Realities, is a highly-acclaimed resource for childbirth professionals, and a new
edition is in press. An independent scholar, she is an acknowledged expert on evidencebased maternity care.
Kennedy, Holly CNM, PhD, FACNM, FAAN has been a midwife for 25 years is the inaugural
Helen Varney Professor of Midwifery at Yale University and the President of the American
College of Nurse Midwives. She is a graduate of the Frontier School of Midwifery & Family
Nursing, obtained her Master’s degree from the Medical College of Georgia as a family nurse
practitioner and her doctoral degree from the University of Rhode Island. Her research
includes numerous qualitative studies exploring the work of midwives and its relationship
to health outcomes. She recently completed a clinical trial of group prenatal care, in two
military settings. She is on the faculty of King’s College London where she was a Fulbright
Distinguished Scholar during 2008.
Kotaska, Andrew MD, FRCSC received his MD from U.B.C. in 1992 and worked for 7 years as
a rural GP-surgeon in northern B.C. before returning to complete a residency in Obstetrics
and Gynecology. He is currently the Clinical Director of Obstetrics and Gynecology at Stanton
Territorial Hospital in Yellowknife where he lives with his wife and two boys. His main current
areas of research interest are breech birth, the overestimation of risk in modern obstetrics,
and the impact of epidural analgesia on labour and cesarean section rates.
Biographies
Lynch, Bridget RM, MA a mother of five and a midwife with more than 25 years of experience,
has just ended her term as President of the International Confederation of Midwives (ICM), the
global organisation of midwifery associations in 94 countries, representing a total of 250,000
midwives worldwide. During her three-year term, Lynch was a key voice in the struggle to
reduce the tragically high death rates of mothers and babies in developing countries during
childbirth. Under her leadership midwives have gained recognition as a critical force in helping
to reverse the dismal maternal death rate, as they work in communities and can manage lowrisk deliveries at lower cost than obstetricians.Lynch has played a pivotal role securing United
Nations funding to address the global shortage of skilled birth attendants, including midwives.
She also helped pave the way for Canada’s Prime Minister Stephen Harper to make global
maternal health a priority at the G8 Summit in Muskoka in 2010.
Simkins, Geraldine CNM, MSN, DEM is an activist, midwife, author and visionary with over
three decades of experience working in maternal and child healthcare, women’s health,
and community-based programs. Currently, Geradine is President of the Midwives Alliance
of North America and its first Interim Executive Director. She concentrates her energy on
sustaining the midwifery profession, advocating for healthcare reform, improving maternity
care outcomes, eliminating health disparities, and mentoring the next generation of midwives.
Her first book, Into The Hands, Wisdom From Midwives, was published in March 2011.
Vinaver, Naoli CPM is a Mexican midwife who combines traditional birth practices with a
profound interest in and respect for the physiology of natural birth. She has been attending
both waterbirths and births in traditional styles and positions since 1990. Naolí has enjoyed
three pregnancies and homebirths of her own in the company of her family. She has written
and illustrated children’s books about life, pregnancy and birth, produced birth videos for
education, and devoted many years to teaching midwifery both in her home in Mexico as well
as around the world.
Wilson, Anne RM trained and worked as both a midwife and nurse in the U.K. for several
years before relocating to Canada. Wilson completed the Midwifery Education Program at
McMaster University and has worked as a midwife in Burlington for more than a decade.
She has also worked as a preceptor with the Inuit Midwifery program in Innulitsivik in
Nunavik, giving her a better understanding of the unique challenges of returning birth to
remote communities. Anne Wilson has been politically involved in the advancement of
midwifery in Ontario since the profession was regulated in 1994, serving on many regional
interdisciplinary committees and volunteering with the Association of Ontario Midwives
(AOM), where she served for ten years in several positions on the Board of Directors. She
is currently the President of the Canadian Association of Midwives.
37
Biographies
Breen, Jill CPM, MANA 1st Vice President Jill has been trusting birth and believing in women’s ability for over 40 years, as a
mother and homebirth midwife, mentor, speaker and writer. She lives on an organic farm in central Maine with her husband
and any of her 6 children and 6 grandchildren she can persuade to visit. She makes herbal remedies and is famous for her
Dragonfly Hollow Herbal Healing Salve. She worked with a small group in 2009-2010 to revise and edit the groundbreaking
MANA Values and Ethics Statement.
Cheyney, Melissa PhD, CPM, LDM is an Assistant Professor of Medical Anthropology and Reproductive Biology at Oregon
State University. She received her doctorate from the University of Oregon in 2005, where her research examined the U.S.
Homebirth Movement. Dr. Cheyney is a Certified Professional Midwife, Chair of the Board of Direct-entry Midwifery for
the State of Oregon, Chair of the Division of Research for the Midwives Alliance, the director of the Reproductive Health
Laboratory at Oregon State University and the author of the recently published ethnography, Born at Home.
Cook, Katsi AM, is an elder Aboriginal Midwife, a founding member and current Secretary of the National Aboriginal Council
of Midwives (NACM) of the Canadian Association of Midwives (CAM). Katsi is a member of Women of Color and Indigenous
Women at MANA. She is the founding Aboriginal Midwife of the Six Nations Birthing Centre at Six Nations, Ontario and
a member of the Indigenous Elders and Youth Council. Katsi serves as Program Director and Field Coordinator for First
Environment Collaborative at Running Strong for American Indian Youth. Her program has worked with Kanonkwatsheri:io
Clinic and St.Regis Mohawk Health Services to implement Centering Pregnancy.
38
Corey, Julie RM, MHSc works as a registered midwife in St. Jacobs, Ontario. Her combined rural-urban practice serves
the diverse Kitchener-Waterloo population as well as the surrounding Mennonite farming community.Julie has taught in the
Ontario Midwifery Education Programme as a tutorial leader and workshop facilitator in clinical skills and conflict resolution
and joined the Preceptor Support Program in 2010. In 2008 Julie completed her MHSc in Bioethics and spent a month
working as a midwife in a northern Quebec Inuit community.
Darling, Liz RM, PhD is a registered midwife who practices in Ottawa, Ontario. She is also an Assistant Professor in the
Midwifery Education Program at Laurentian University. She has an Honours Bachelor of Arts & Science (1994), a Bachelor
of Health Science in Midwifery (1997), and a Master’s degree in Health Research Methodology (2007), all from McMaster
University. She is currently enrolled in the PhD program in Population Health at the University of Ottawa.
Farrell, Marinah CPM, LM was raised in the traditional ways of her parents and was gifted to watch her grandfather and
mother walk among plants, identifying their healing properties both in the mountains of Mexico and the deserts of Arizona.
Her love for midwifery stems from a in the healing essence of the natural world and her concern for social justice. Her
current passion is linking Mayan/Mexican traditional healing with Chinese medicine as a way to further the healing potential
of both practices and is pursuing an advanced degree in acupuncture. Her teenagers bring her immense joy, as does her
beloved husband.
Handa, Manavi RM, MHSc is an Assistant Professor in the Midwifery Education Program at Ryerson University in Toronto.
She has worked as a midwife for the past decade and is currently a partner at West End Midwives. Manavi is currently the
Chair of the Association of Ontario Midwives Diversity Committee and represents the Canadian Association of Midwives on
the National Advisory Committee on Migration and Reproductive Health. The daughter of South Asian immigrant parents,
she is an avid advocate for immigrant women’s health. Manavi received the prestigious Anti-Racist Activism Award from the
Urban Alliance for Race Relations in 2010.
Joseph, Jennie CM, CPM a British-trained midwife and women’s health advocate moved to the United States in 1989 and
began a journey which has culminated in the formation of an innovative maternal child healthcare system, The JJ Way®.
Executive Director of Commonsense Childbirth Inc, her nonprofit corporation, she operates The Birth Place birthing center
in Winter Garden, Florida which has an outreach clinic for pregnant women who are at risk of not receiving prenatal care.
Jennie is also the owner/director of Commonsense Childbirth School of Midwifery, a Florida licensed direct-entry midwifery
training program and is an expert on perinatal health disparities.
Biographies
Katz Rothman, Barbara PhD Professor of Sociology at the City University of New York, is on the Faculty of the Health and
Society Program of the Charité -Universitätsmedizin in Berlin, and has served as a Visiting Professor at the Universitat
Osnabrueck in Germany, a Fulbright Professor at the University of Groningen in the Netherlands, and a Leverhulme
Professor at Plymouth University in the United Kingdom. Her books, translated into German, Japanese and Finnish, include
IN LABOR, LABORING ON (with Wendy Simonds), THE TENTATIVE PREGNANCY, RECREATING MOTHERHOOD, THE BOOK
OF LIFE, and WEAVING A FAMILY.
MacDonald, Tasha RM, MHSc has been practicing midwifery in Toronto since 2001. She has a master’s degree in Bioethics.
She is currently the Director of Clinical Practice Guidelines at the Association of Ontario Midwives and is an instructor in
Ryerson University’s Midwifery Education Program.
MacGillivray, Jay RM has been a midwife and activist-advocate for over 30 years for people and communities who are
marginalized because of racism, homophobia, transphobia, HIV/AIDS, disability, poverty, immigration status, substance
use and other systemic barriers to access. One of Ontario’s first registered midwives, MacGillivray co-founded The Positive
Pregnancy Programme, providing comprehensive pregnancy, birth, and postpartum care to HIV-positive mothers and
their babies.
Neumann, Yeshi CNM, MA, MPH has practiced midwifery at home and in the hospital since 1970. Yeshi has been an
international speaker and facilitated workshops about conflict resolution, healing, communication, mindfulness, social
justice and diversity for almost as long as she has been a midwife. She is a mother of two daughters and a grandmother
of two granddaughters, whom she received into her own hands at birth.
Robertson, Andrea Lea RM, MHSc PhD candidate Assistant Professor, Midwifery Education Program, Ryerson University.
I am a graduate of the Midwifery Education Program, McMaster University 2003 and am currently a PhD candidate in
Women’s Studies and Feminist Research, University of Western Ontario. I have worked in both urban and rural settings.
39
A Midwife’s Approach
To Electronic Charting
Overview
«
CLIENTS
10.4
WEEKS
Progress Notes
Messages
To Dos
Files
I met with Colleen and her husband Brad in the office today. Colleen reports that she
is feeling well and has a good appetite despite some occasional morning sickness. We
discussed her diet and she would like to take home a diet diary this month and get some
advice at her next visit on her overall nutrition.
I talked to Colleen about genetic screening options. I let her know that she can have a
referral for an NT scan and explained the risks, benefits, and alternatives to 1st trimester
genetic screening. I offered her paper or web based information to review and she
requested a link to our Web site information. She will review the information and call me
this week to discuss her options for obtaining genetic screening.
Related To Dos:
✓ Genetic Screening Information Provided:
✓ http://mountainviewmidwives.com/genetic_screening.html
✓ Nutrition Overview
PDF
+ Add A Progress Note
Support
MANA & CAM
Try Electronic Charting for Midwives and
Private Practice will generously donate all of
the proceeds from the first month of
your subscription to MANA & CAM.
Offer Code: MANACAM11
Diet Diary.pdf
by Brynne Potter, CPM, 4 hours ago
From: Brynne Potter, CPM
Service Date: Thursday, 14 July 2011
Category: Prenatal
Finally, charting that highlights the unique model of care we provide.
n Create and track chart notes, calls and messages from any computer.
n Customize discussion checklists and informed consent for each client.
n Collaborate and communicate with your partners and colleagues.
n Give your client direct access to their medical record.
n Secure, automatically backed up and HIPAA compliant.
SM
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Notes
Notes
46
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program - Canadian Association of Midwives

Transcription

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